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当前位置：国际临床研究杂志 > 2025年 9卷 (3)期

Open Access Article

International Journal of Clinical Research. 2025; 9: (3) ; 84-88 ; DOI: 10.12208/j.ijcr.20250136.

Timing of endoscopic treatment for choledocholithiasis with accompanying symptoms
伴随症状的胆总管结石的内镜治疗时机

作者： 杨芳超, 祖少奇, 李可, 李瑞雪, 朱洪 *

昆明医科大学第二附属医院肝胆胰外科云南昆明

*通讯作者：朱洪,单位：昆明医科大学第二附属医院肝胆胰外科云南昆明；

昆明医科大学研究生创新基金（项目编号：2024S085）

发布时间: 2025-03-29 总浏览量: 70

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摘要

胆道结石在西方国家和日本很常见。大多数胆结石存在于胆囊中，但它们有时会通过囊性管进入肝外和/或肝内胆管，成为胆管结石，导致胆总管结石和肝胆管结石。大约10-15%的胆结石患者同时患有胆管结石。除此之外，胆道结石的流行病学、发病机制和分类很可能根据结石位置（肝内和/或肝外胆管）而有所不同。长期以来，直接开腹手术进入胆管是唯一独特的方法，但是这种方式对胆管损伤较大，对患者基础情况要求高，并且对于引起症状的胆总管结石，由于胆道条件不好及手术风险大，短期内无法行胆总管切开取石头术。随着先进的内窥镜、放射学和微创手术技术的出现，治疗胆管结石的选择方式也增加了。本综述文章的目的是通过讨论胆总管结石的流行病学、临床和诊断方面、可能的治疗方法及其优点和局限性，为读者提供与胆总管结石内镜治疗的一般总结。

关键词： 胆总管结石；并发症；内镜治疗

Abstract

Gallstone disease is common in Western countries and Japan. Most gallstones are found in the gallbladder, but they can sometimes pass through the cystic duct into the extrahepatic and/or intrahepatic bile ducts, becoming bile duct stones, leading to common bile duct stones and intrahepatic bile duct stones. Approximately 10-15% of patients with gallstones also have bile duct stones. In addition, the epidemiology, pathogenesis, and classification of bile duct stones are likely to vary depending on the location of the stones (intrahepatic and/or extrahepatic bile ducts). For a long time, open surgery to access the bile duct was the only unique method, but this approach causes significant damage to the bile duct, requires high patient baseline conditions, and for common bile duct stones causing symptoms, due to poor biliary conditions and high surgical risks, bile duct stone removal surgery cannot be performed in the short term. With the advent of advanced endoscopic, radiological, and minimally invasive surgical techniques, the options for treating bile duct stones have also increased. The purpose of this review article is to provide a general summary of endoscopic treatment for common bile duct stones by discussing the epidemiology, clinical and diagnostic aspects, possible treatment methods, and their advantages and limitations.

Key words： Common bile duct stones; Complications; Endoscopic treatment

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引用本文

杨芳超, 祖少奇, 李可, 李瑞雪, 朱洪, 伴随症状的胆总管结石的内镜治疗时机[J]. 国际临床研究杂志, 2025; 9: (3) : 84-88.

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